Can we trust the PCEHR not to leak?

In April this year, the Federal Minister for Health and Ageing, Nicola Roxon, stated that by July 2012 all Australians will be able to “sign up for a personally controlled e-health record . . . [that] will enable better access to important health information currently held in dispersed records around the country”.1 Laudable aims, but can patients and clinicians trust the reliability and confidentiality of this personally controlled e-health record (PCEHR)?